Individual
MRS. JANICE GJERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6614 GULTON CT NE, STE C, ALBUQUERQUE, NM 87109
(505) 514-2058
(505) 200-2370
Mailing address
6614 GULTON CT NE, STE C, ALBUQUERQUE, NM 87109
(505) 514-2058
(505) 200-2370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
005818
NM
101Y00000X
Counselor
CCMH005818
NM
101YP2500X
Professional Counselor
Primary
CCMH005818
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37683080
—
NM
Enumeration date
12/19/2006
Last updated
03/08/2023
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